Yangming Dismount In Treating Stroke

Apoplexy, as described in Chinese medicine terms, bursts out with a basis of deficiency of both qi and blood, triggered by some factors including over-strain and internal injury, worry-anxiety and anger, delicacy addiction, or smoke and alcohol addiction, which followed by the disorder of zang-fu organs and yin-yang, reversed flow of qi and blood upper to invade brain, and formation of blood obstruction or oozing out of brain blood vessels .Apoplexy is one of the most common diseases contracted by aged people, the main symptom includes: syncope abruptly, hemiplegia, facial distortion, aphasia, or hemianesthesia. Apoplexy is characterized by high incidence, high mortality and high disability. So how to prevent and treat apoplexy effectively catchs more and more attention of domestic and overseas researchers.Chinese medicine has accumulated lots of clinical experience in the treatment of apoplexy. Purgative therapy, as one method in the treatment of apoplexy, is regard as more and more important now. With the purgative prescription, the intestine and stomach are washed and the retained food, stagnation and phlegm-fluid are all cleared out, which can get an effect of expelling pathogenic qi and cure disease. In the acute stage of apoplexy, the symptom of dry stool and constipation is easy to occur, because combined pathogen inclusive of wind, fire, phlegm and stagnation linger or block in middle energizer and transform to pathogenic dryness and heat, followed by disorder of qi movement and zang-fu organs functions causing combination of phlegm and heat and loss of lots of fluid. So, obstruction of fu-organ qi is a pivotal mechanism in the genesis and development of apoplexy, and it can cause turbid pathogen invasion upward as to block diaphanous orifices and induce mental confusion. Regulation of fu-organ qi and purgation of heat can make the qi and blood dispersed, meanwhile can open the obstruction, clear heat and relieve toxicity, lead the qi and blood downward to get out of the way for pathogen, as a result, the ultimate cause of trouble will be removed, tendency of disease will be reversed and symptom will be ameliorated.After long-term clinical observation, academician Wang proposed the"toxin leading to brain-collateral damage"hypothesis that to regulate fu-organ qi, to resolve phlegm and to purge heat can make a better therapeutic effect in the acute stage of apoplexy. He believed that purgative therapy could adjust qi movement, clear the heat toxin and phlegm-turbidity, and purge wind, fire, phlegm or...